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由于还没有可靠的长效治疗方法,盆腔放疗引起的出血性膀胱炎仍是临床上一个重要的难题。曾用过的疗法有膀胱内灌注福尔马林、硝酸银和明矾,液压扩张,髂内动脉栓塞,有的治疗导致膀胱进一步缩小,可使尿急尿痛加重,明矾由于相对无毒性,可用于止血,且不需麻醉,但不能使放射引起的缺血性溃疡愈合,当然各种方法也不能使膀胱瘘愈合,1985年作者报告用高压氧治疗三例症状严重的放射性膀胱炎,平均随访43个月,以后又治疗了五例。
Hemorrhagic cystitis caused by pelvic radiotherapy is still an important clinical problem due to the lack of reliable long-term treatment. Once used therapy in the bladder perfusion of formalin, silver nitrate and alum, hydraulic expansion, internal iliac artery embolization, and some treatment led to further reduce the bladder can make urinary urgency increased pain, alum due to the relatively non-toxic, available Hemostasis, and without anesthesia, but not radiation-induced ischemic ulcer healing, of course, a variety of methods can not make the fistula healing, 1985 autopsy reported three cases of severe symptoms of radiation cystitis with hyperbaric oxygen treatment, the average follow-up 43 months, and later treated five cases.